Case reports in pediatrics · 2026
Interspinous Bursitis due to Staphylococcus aureus in an Adolescent.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Foré Florine, Lamrous Yasmine, Delval Antoine, Vanrenterghem Audrey, Djeddi Djamal
Аннотация
BACKGROUND: Interspinous bursitis is exceptionally rare in children, contrasting with degenerative forms in adults.
CASE PRESENTATION: A 16-year-old male presented with acute severe low back pain, fever (39°C), and focal L3-L5 tenderness. CRP was 233 mg/L; blood cultures grew methicillin-susceptible Staphylococcus aureus. Imaging progression (US, CT-scan, MRI, PET-CT) confirmed L3-L4 interspinous bursitis without bone/disc involvement, distinguishing it from spondylodiscitis.
MANAGEMENT: Cefazolin IV (10 days) followed by oral ciprofloxacin (4 weeks), a lumbar brace, and rehabilitation yielded complete recovery.
CONCLUSIONS: Pediatric interspinous bursitis presents as febrile back pain via hematogenous dissemination. MRI is diagnostic, excluding spondylodiscitis. Conservative management with early antibiotic switch is effective when imaging excludes bone/disc involvement. This case highlights distinguishing features and optimal management of this rare pediatric entity.
CASE PRESENTATION: A 16-year-old male presented with acute severe low back pain, fever (39°C), and focal L3-L5 tenderness. CRP was 233 mg/L; blood cultures grew methicillin-susceptible Staphylococcus aureus. Imaging progression (US, CT-scan, MRI, PET-CT) confirmed L3-L4 interspinous bursitis without bone/disc involvement, distinguishing it from spondylodiscitis.
MANAGEMENT: Cefazolin IV (10 days) followed by oral ciprofloxacin (4 weeks), a lumbar brace, and rehabilitation yielded complete recovery.
CONCLUSIONS: Pediatric interspinous bursitis presents as febrile back pain via hematogenous dissemination. MRI is diagnostic, excluding spondylodiscitis. Conservative management with early antibiotic switch is effective when imaging excludes bone/disc involvement. This case highlights distinguishing features and optimal management of this rare pediatric entity.